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2080 Vela Norte Cir (vault) • I IF '�T D LLOT -20 p7rr.r � I _ a I i t 1 J�I 1 I VELLA N4C - clnl�T qvE d CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �'3331�r' Application Number . . . . . 06-00034207 Date 11/08/06 Property Address . . . . . . 2080 VELA NORTE CIR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10800 --------------- -------------------------------- Application desc RE-ROOF ----------------------------------------------- Owner Contractor - ------------------------ ----------------------- TURNER, PHILLIP R.L. CONSTRUCTION 2080 VELA NORTE CIRCLE ROBERT LAWRENCE ATLANTIC BEACH FL 32233 335 DUDLEY STREET ATLANTIC BEACH FL 32233 (904) 333-5533 ---------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc - Permit Fee . . . . 35 . 00 Plan Check Fee 24 . 00 Issue Date . . . . Valuation . . . . 10800 Expiration Date . . 5/07/07 -------------- --------------------------- Fee summary Charged Paid Credited ----Due- - ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 24 . 00 24 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. '\ - CITY OF AT BEACH r PLAN REVIEW SHEET p.Hufstetler Building Department Public Works&Public Utilities Departments r f1i3>>' 800 Seminole Road 1200 Sandpiper Lane R.Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# p" Property Address Applicant: �. s �oi�s7,� Inks aA Project: F-V This permit application has been: Approved as noted by the Li 6— Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: 106 Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. L. Reviewed By: �� Date: Date Contractor Notified: Licensing Portal - Search Results Page 1 of 1 l Hdrda.com �r tw ,i Log On DBPR Home I Online Services Home I Help i Site Map A Public Services 08:54 Search for a Licensee Search Results Apply for a License View Application Status Please see our glossary of terms for an explanation of the license status shown in these search results. Apply to Retake Exam Find Exam Information License Status/ Find a CE Course License Name Type Name Type Number/ Expires File a Complaint Rank AB&T Delinquent Invoice & Activity List Search Certified HAINES, CCC057654 Current, J1 User Services Roofing RICHARD L Primary Cert Active Contractor Roofing 08/31/2008 Renew a License Change License Status Certified R L HAINES CCC057654 Current, Maintain Account Roofing CONSTRUCTION DBA Cert Active Contractor INC Roofing 08/31/2008 Change My Address View Messages Change My PIN View Continuing Ed i. 1®i Term Glossary ® Online Help I Terms of Use I I Privacy Statement I httns://www.mvfloridalicense.com/licensing/wl l 2.isn_isessionid=BEKHONLDLNPIkKi9f... 11/7/2006 Licensing Portal - License Details Page 1 of 1 tibrnYa.ccm �a vv r= Log On DBPR Home I Online Services Home I Help Site Map 8:54:58 AA A Public Services Search for a Licensee Apply for a License Licensee Details View Application Status Licensee Information Apply to Retake Exam Name: HAINES, RICHARD L (Primary Name) R L HAINES CONSTRUCTION INC (DBA Nam Find Exam Information Main Address: 2235 MERCATOR DR. File a Complaint ORLANDO Florida 32807 AB&T Delinquent Invoice County: ORANGE & Activity List Search User Services Renew a License License Mailing: 2235 MERCATOR DRIVE ORLANDO FL 32807 Change License Status County: ORANGE Maintain Account Change My Address License Location: 1637 ROSE GARDEN LANE View Messages ORLANDO FL 32825 Change My PIN County: ORANGE View Continuing Ed License Information License Type: Certified Roofing Contractor 161, Term Glossary Rank: Cert Roofing License Number: CCCO57654 Online Help Status: Current,Active Licensure Date: 02/11/1998 Expires: 08/31/2008 Special Qualification Effective Qualifications Bldg Code Core Course Credit Qualified Business 02/20/2004 License Required View Related License_Information View License_Complaint L I Terms of Use I I Privacy Statement I https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=823273 11/7/2006 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: 9081ZNJ t Ia h(ft Cl• rel C General description of improvements: k rw-f Owner: phi Lo TUrnrr Address: 2M(l�N,IFIA-. Otrft hirfI P Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: (�L llQ 1►les Cms-yoc♦1 nn 14. ,,, Address: c' 35 H elrfh-fOr hr i u r Idr,�l l FC. 32Irl VA Telephone No.: A OU MR;5 U85 Fax No: 904 34®3L4 Alp Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNR Si Date: I 1 u Before M s(—day of in the County of Duval,State Of Florida,has personally appeared Doc#2006389452,GR BK 13630 Page 845, Notary Public at Large,State of Florida,County of Duval. Number Pages 1 My commission expires: U(4110 Filed&Recorded 11/08t?006:at 12 42 PM, Personally Known: ✓ or JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Produced Identification: RECORDING$10.00Fiilx RHONDAJOHNSON MY COMMISSION#DD 581802 EXPIRES:August 6 20t0 Bonded p ru Ndary Pubic underwriters CITY OF ATLANTIC BEACH i::v= ROOFING PERMIT APPLICATION :µ Date: PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: AI)M KNCC±t. i r 1 r Owner of Property: PKI Gig T(lrry r a LAD--5q5LP Address: 2na j) y t ICL 1(+e. CJ_cd F Telephone: i �W AP 2 2 Contractor: k H A i roes ronSt aX f 1871 State License Number: C) '1[nti_4 Contractor's Address: ;32216 Ht `ottl- nfli[C Dr14ndh FL �iZStl`I Telephone: q DL4 3q Q 3L4Fax: Scope of Work: k rid Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work i( 01 IRIM Product Name(Example: Timberline): *Aation(s): (Example: GAF): Required Inspections: Sheathing and Final Signature of Owner. Date: AS TO OWNER: Sworn to and subscribed before me this 'l I bip day of t3 hVLMbtC 120 I)LD _• State of Florida,County of Duval Notary's Signature: ' l tip*:',.1, RHONDAJOHNSON ' = [Personally known MY COMMISSION#DD 581802 EXPIRES:August 6,2010 ❑ produced identification .f.... Batdad Thru Notary Pubk Underwriters Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of�VCMbt� 20 _• State of Florida,County of Duval Notary's Signature � �� Personally known ,:t ry''• RHONDA JOHNSON ❑ Produced identification ;.. MY COMMISSION#DD 581802 Type of identification produced a EXPIRES:August 6,2010 qp ad° Bonded Thru Notary PubM1c undervmters note Road Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 2/21/03 RECEIVED w CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH BUILnING � ZONING ROOFING PERMIT APPLICATION NOV o 3 2006ru)11119) Date: PLEASE SUj4MIT(2) COMPLETE SETS OF PROD UCT APPROVALS AND INSTALLATION INSTR UCTIONS WITHAPPLjC,96N. Job Address: aubb \I +r_ C j ' f __ �♦ �C;r Owner of Property: Ph r^ 'v Address: 06r) t U_ �j oc+t Cj ro P Telephone: W Z Contracr: j State License Number: Contractor's Address: 3 oe L Telephone: CA U y-.51PI 11� -_5L4 9)5 Fax: Q D y Q -34 Scope of Work: f'CUIF /L Deck Slope: I p!t-_ Greater than 2:12 Less than 2:12 -6 U Valuation of work:A I 0 Product Name(Example: Timberline :?j r i+ t Manufacturer(Example: GAF): E ASTM Designation(s): Required Inspections: Sheathin and Final <�:Signature of Owner: -A AS TO OWNER: \S 01 � � CA- S to and subscribed before me this 2 da, 5 JLL µ 120 Sta da,County of Duval �5 e t�to C. Notary's Signature. 3!lgnd AWN ruU PBP�9 ;, v so E Personally ki otoZ'9isn6ny:SNIcIX3 ❑ Produced Iden ..on 209195 00 t NOISSIM400 AW ' t Type of identification produced N08NHOr vaNOI•Ia "' w Signature of Contractor: \ J 2�� Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of hibVtnb8r f 20DLR-- State of Florida,County of Duval Notary's Signature: personally known _.;��;+ RHONDAJOHN ❑ Produced identification s MYCOW �►DD sgtso2 Type of identification produced EXpIRES:August 6,2010 pf�^� em dno Nod"Ptift Un&rwIGm 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fag: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 10/06 Page 1 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: t%f+e GI 2 I f General description of improvements: 1F Owner: &U 12 T(If nt r Address: Owner's interest in site of the improvement: Pe Simple Titleholder(if other than owner): 0� \,� ✓ C N Contracto ni I Address: Telephone No.: AbLI Fax No: QaU'3A9-3�-ISCo Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Do:.#=00S3t12;32 OR BK 13619 nage 2-49, dumber Wages 1 Name and address of any person making a loan for the construction of the imp =Geu&F acoi 11:03.,'2006 at 08 '"'AM Jlh'I FLP�Et2 .�t.�RK.CIRG'J!T CCiRT JUV:zL�:GuPJTY Name: REGOR0il? G$!0.00 Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: t V�/v �"� Date: Before me this�_day of in the County of Duval,State Of Florida,has personally appeared ✓ a" RHONDA JOHNSON Notary Public at Large,State of Florida,County of Duval. My commission expires: O 1 MY COMMISSION#DD 581802 or :g EXPIRES:August 6,2010 Personally Known: ''•? ;Qt' Bonded nNotary 9�Underwriters r ced Identification: CITY OF ATLANTIC BEACH Ire l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001866 Date 11/23/09 Property Address . . . . . . 2080 VELA NORTE CIR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------- Application desc replace concrete drive area for area ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TURNER, PHILLIP OWNER 2080 VELA NORTE CIRCLE ATLANTIC BEACH FL 32233 --------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . Permit Fee 35 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 5/22/10 ------------------------------------------------ Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line . Cleanout must be covered with at RT1 concrete box with metal lid. Cleanout to be set to grade and visible . Roll off container company must be on City approved list and cannot be placed on City right-of-way. Roll off container company must be on City approved list and cannot be placed on City right-of-way. Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER NO V To be assigned b the Building Department.) � Building Department ( g y 9 u` 800 Seminole Road Atlantic Beach, Florida 32233-5445 � � O - Phone(904)247-5826 • Fax(904)247-5845 �mill E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: `� �i a- - ePartment review required Yes No r` Building Applicant: Planning &Zoning Tree Administrator Project: �� Y ublic Utilit' Public Safety Fire Services Review fee-$ p g nat ,:F De t Si ure - Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. L4Denied. (Circle one.) Comments: 2 r 2 BUILDING JJ PLANNING &ZONING Reviewed by:__z Date: //A� TREE ADMIN. Second Review: Approve ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES )0/67 PUBLIC SAFETY Reviewed by: Date: f 1 FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie . Comments: Reviewed by: Date: Revised MUM Public 'Works Plan Review Comments Initials: Date: (I 13 Project Nam e/Address: go gd Vok $ 1.I Iz Application Permit#: Application' zcl =Commentso: i3d Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance schedule. l Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of ay Permit if using ri -of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing V contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, apost construction topographic survey documenting ❑ proper construction will be re uired. A Right-of-Way Permit must be obtained for use - D A Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from D street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways sm' C�OJ Standard Detail Case X and Any utility cuts in the road must be repair g must be overlaid 10 feet in each direction.from the center of the cut. Repair must be D shown on the lams. . P -Roll off container company must be on City approved list and cannot be placed 40� on City right-of-way. ❑ D D f r5 Lfr' CITY OF ATLANTIC BEACH c CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 0Z904-247-5800 800 Seminole Road Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date PERMIT# ^T ISSUED BY THE CITY Job Address L7 Permitee: R�, �� —�1/��/��,e Telephone#�c °' 14 Permittee Address: Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No Date: Bell South Telephone Company Yes ( ) No Date: Ferrell Gas Yes ( ) No Date: Comcast Yes ( ) No Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing anv increase in impervious area on owner's lot or in the cid Right of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with 3 - days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: C/J � v Date�� Before me this day of MOU f-A B[�!the ounty of Duval, State Of Florida, has personally appeared P 64►%---12 AT 1-k!L W f l2 Notary Public at Large,State of Florida, County of Duval. My commission expires: c�---- a.� �O �t PersoRa4fS;Kno .T �_��� I yoo — Produced Identification: g`� SAN SPEAKS GORMAN MY COMMISSION#DD643668 EXPIRES:February 25,2011 I-Rl�3-NOTARY FI.Notary Discount Assoc.Co. 1 a Y Yf er�ious Surface Calculations % Formula Find square footage of the following: Mouse footprint Driveway All sidewalks/walkways A/C pads Detached garage/sheds Pool Decking Patios, terraces and/or decks Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 5!14!2007 L,OT ZO _ ✓ -—J i LOT CB ;qo im �i LLA .Scar IZ w i>�dV�D City of Atlantic Beach 4APPLICATION NUMBER Building Department �� �+ C43 (To be assigned b e Building Department) 800 Seminole Road h s1 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 Fax(904)247-5845 - r-s��" E-mail: building-dept@coab.us ��� Date routed: City web-site: http://www.coab.us ~`=' APPLICATION REVIEW AND T CKING FOIA 1 ' Department review re red Yes Property Address: De� �uiNo Building Applicant: Planning &Zoning Tree Administrator Project: b r {I Public Work -P-Obli-c-Utilities _Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 R.O.W. Permit Attachment of for R.O.W. Permit 4�1'-1`d4 b issued , 200_ Atlantic Beach, FL 32233 Owner's Name: L /,�l:�iUG�R Property Address: 2 O FSO Ve LA W16 Subdivision: :SEL VSA AJ D!e TF Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This w,o k is enerally described as: ` �nl ice}-'rte C, .i Q 2S Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit 11 otheruse shall meet land uthe and coderequirements require vents of the CITY�anclBuilding Codes, Land Development Code, a ty City Code Section 19-7 (h) which B "Driveways with at cross smooth concretesleftll aturalVnlcolorasolthabt replaced with other materials, but must be replaced matches the existing and adjoining sidewalks." Page I of 2 r The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this I', day Of A) D � , 200 By: J VC_A�� Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this ' (1 day of 200 , personally appeared before me, a Notary Public in and for said ounty and State, Pl.4t I-L I P A -TURiyF2 , the property owner of L A M o 2_T C l 2 Atlantic Beach, Florida, known to me to be the person(s) O°r described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. ,� (,QS co �tOj yo '1g$o �v""" SUSAN SPEAKS GORMAN % D Q , a�,��,,,_ j MY COMMISSION k DD643668 - EXPIRES:February 25,201 l Notary Public in fo said County and State I-M3-NOTARY FI.Notary Discount Assoc.Co. W�sen!en�vr CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: Approved: cky L. Ca erPub�licWor sl)i�rector For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 City of Atlantic Beach NOV 1 S 2009 I APPLICATION NUMBER Building Department (To be assigned by the Building DepartmenLy 800 Seminole Road BY:- Atlantic Y ;_ _ Atlantic Beach, Florida 32233-5445 O t� =- Phone (904)247-5826 • Fax(904)247-5845 J,3!> E-mail: building-dept@coab.us Date routed City web-site: hftp://viww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: y (� ate. 1�1 �'� � C-t epartment review required Yes No t-� Building Applicant: y Planning &Zoning Tree Administrator Project: :j�,I�Le- Y ublic U Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PU L C WO K$� Comments: PUBL PUBLIC VTY Reviewed by: Date: FIRE SE�IVICES Third Review: []Approved as revised. [-]Denied. Comments: Reviewed by: Date: revised 08114/09 PSR 38x4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PEP141T !NFORMATTON - --- ------- LOCATION INFORMATION 2080 VELA NORTE CIRCLE ,ermit Number, 160 16 4 Permit Type7PLUMBING ATLANTIC BEACH , FLORIDA 3.2.1 -lass of Work :ALTERATION LEGAL DESCRIPTION constr - Type: CCNCRETE Block: Lot : Twp' Proposed 'Use: Section: (0) Subd-. 0 Rna , Dwellings : 0 Subdivision: SELVA MARINA Est , value: 0 .00 improv, Cost : 0 . 00 Total Fees : 25 .00 Amount Paid: 25 .00 T 31SHET OWNEF. INFORMATION -------- APPLICATION FEES eta':-ne: FHILLIF TURNER PEP.MTT 25 0 N-3dr , !,380 VELA NORTE CIRCLE ATLANTI '- BEACH , FLORIDA 3221' Fhone: ' 9QV241-�458 ------- C�-)NTRACTCIF INFORMATION Name : DARLEY ' S PLUMBING INC Addr : 3552 ST . AUGUSTINE RC2�L JACKSONVILLF , FL 32207 Lic, CFLO5 67r'2 Exr- , M,vro NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Date; 31015/18 211 Receipt; 0036-ill CHECKS 2605 ATLANTIC BEACH BUILDING DEPRTMENT 08100003221000 By: 1 CITY OF ATLANTIC BEACH s APPLICATION FOR PLUMBING PERMIT I JOB LOCATION: OWNER OF PROPERTY: X kk 11 (T PLUMBING CONTRACTOR: Darley'is Plvlmbing Inc. CONTRACTOR'S ADDRESS: 3552 St. Augustine Road, Jax FL 32207 STATE LICENSE NUMBER: CFC056702 TELEPHONE: 448-2040 i HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED r SINKS SHOWERS LAVATORIES WATER HEATERS -e tyle BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETt WASHING MACHINES i FLOOR TRAINS SHOWER PANS 'OTHER TOTAL FIXTURES: X 3.50 + X15.00 MINIMUM PERMIT FEE _ $25.00 .SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF ')PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1394 t STANDARD PLUMBING CODE. CALL A DAY AHEAD! TO SCHEDULi INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP (904) 247-5834. i 001409 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 'erait. uumtvli�v t409 �Aldi eas 2-080 VELA NORTE CIRCLE Permit Type; UTILITIES ATLANTIC BEACH, FLORIDA 17- lass of Work% ADVITT,011 LEGAL DESCRIPTION -- -- - - Coristx,. Types N/A Block. Sc-c t iork) Proposed Use: SINGLE FA"lt.',' Plat Books Pagel CII Dwellings 0 Cod*ti7: 0 'ubdivisius-it SELVA MARINA :;stlffiated Values $0. Of) OWNER INFORMATION Improv. oaat : $0. 00 Name% PHILLIP TURNER To a 1 1@4104 iceVE ddve; 2080 'TELA NORTCIRCLE Aftc)� ATLANTIC BEACH, FI-ORIDA 3223-- L.I C AT I ON PEEs WATER IMPACT FEE 0 S Rw 1"FFMrE d, RADON GAS-H. R. S. lbo. rO,.. RADON GAS -- 5,. $0. 00 WATER TAP $0. 00 ?EWER TAP $0. 00 OYDRAULIC SHARE $0. 00 tvIE-INSPECT FEE $0. Or~, (-'"r1T"FFPT"r* NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN? RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 3/4" IRRIGATION METER PHILLIP TURNER USE THIS FORM FOR ESTIMATES ONLY 2080 VELA NORTE CIRCLE 247-4651 4t. DESCRIPTION OTY. MATERIALS LABOR TOTAL 1 $1. 16 1II T PVC 1" 90 L PVC 2 : $1 76 1" X 3/4" MALE ADAPTER 1 $0 23 PVC 3/4" CURB STOP 1 $10 25 2 $12 00 ,..;., 3/4" METER ENDS - , 3/4" RUBBER WASHERS 2 $0 112 1" SCH 80 PVC PIPE 31 $0 87 3/4" X 5/8" METER 1 $85 00 CONCRETE METER BOX/LID 1 $14 00 _ SUB TOTAL $125 39 10% O.H _ $12 54 TOTAL $137 93 3 MEN ($27 .45/HR) FOR HRS. $109. 0 - 30% O.H. $32. 4- TOTAL _ $142.74 MAIERIALS ——IAROn—— TOTAL TOTAL $137 93 $142.74 $280 67 MISC. JOB EXPENSES AMOUNT OUTER JOB EXPENSES inn 2 TRUCKS 10.00/HR) FO 4 RS TOTAL COST 36 Y677 0 TOTAL SELLING PRICE LESS IOIAL COST GROSS PROFIT LESS OVESMEAD COST I •. OF SELLING PRICE TOTAL NET PROFIT S3'Q 67 A;P P �4 2•P CITY OF ATLA IC BEACH PUBLIC WORKS DFPARTMFNT i APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME__ MAILING ADDRESS_ _r--.C � ------- PHONE NUMBER �" u --- -----L-�--�-/------- DATE- SERVICE ATE ,S- SERVICE REQUESTED C ----------------------------------------------- SERVICE LOCATION_ ------------------------------------------------ DATE SENT TO �j�j DATE RETURNED ((��,, I PUBLIC WORKS_ � / TO BUILD. DPT. ___S L _ DATE OWNER TT ____ /- NOTIFIED --------------------- r APPLICATION FOR WATER AND/OR SEWER TAP p APPLICANT NAME___ _____ _ // MAILING ADDRESS - _ % ___ p 7 ` PHONE NUMBER__ c �_�(P_ s _ DATE_ (31 1; �S SERVICE REQUESTED___ ------------------------ ,f - QQ , SERVICE LOCATIOH_�U�___ &---------------- -------------------------------- r . DATE SENT TODATE RETURNED PUBLIC WORKS_ ___ ----- TO BUILD. DPT. __u DATE OWNER NOTIFIED----f ;F CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Z D L16LA OWNER OF PROPERTY: /4,*t TELEPHONE NO. PLUMBING CONTRACTOR JM C,4"/ CONTRACTOR' S ADDRESS : Z_T elf- STATE lfSTATE LICENSE NUMBER: TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel- 247-5826 - Fax- 247-5877 PLUMBING PERMIT PERMIT INFORMATION' LOCATION INFORMATION ,.. ; Permit Number: 19224 Address: 2080 VELA NORTE CIRCLE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: _ Improv. Cost: OWNER'INFORMATION: Date Issued: 11/22/1999 Name: PHILLIP TURNER Total Fees: 25.00 Address: 2080 VELA NORTE CIRCLE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/22/1999 Phone: (904)241-6458 Work Desc: REPLACE WATER HEATER _ CONTRA ='R ALLCITY PLUMBING PERMIT 25.00 .. .. _ .. ..:.� .ins ections Re uicedd' NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0614 C� Date: 11/23/99 81 Receipt: M13829 ATLANTIC BEACH UILDING D PT. CHECKS 2215 ee1eeee3221ee8 IBM 1 im Traifiratr of (orruvaurg CITY OF 01doft& - Drortmprit n �ttlding �ns�rrttnn tandard This Certificate issued pursuant to the requirements of Section log was irhieSouthern comQliar compliance the Building Code certifying that at the time of issuance this structure various ordinances regulating building construction or use. For the following. New Residential BIdg.PermitNo.—�-----8504 — UseCl[ssifiation Frame Atlantic Beach ___ Fire District.. GrOUP----------'rypeConstructiOn eadows Rd Whatley Law _ 94 71 B ate.__._---.-- Address——�— Owner of Building Selva Norte 2080 Vela Norte Cir�Uahty_- -- — Building Address BY: __ Rene' Angers Date: September_ 2_ 3 1987 ---Building i�a0 l i IN A CONSPICUOUS PLAC[ BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested • Sentember 23, 1987 Building Contractor: Whatley Law Building Permit Number: 8504 Address: 2080 Vela Norte Circle Legal Description : Lot 19 Unit I Selva Norte Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Single Family Lowest Floor Elevation : 12=60' quired as built n/a Sales Ta ______ --------- date submitted----- BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: B Fire Chief __9(23187_______ ------ -S_____ Public Works __ 9/2.3/87 Planning Director -_ 9/2f87 ______________ -------- Building Inspector r ADDRESS ---------- CONTRACTOR_____ OWNER -----+�-`--�---------------------------------------------------- BUILDING_0 d 7 '_ MECHANICAL_�SbSr _ PLUMBING 5bb_ ELECTRICAL ) TEMP POLE_____---_ MISC-__-_______ ELECTRICIAN --------------------------- DATE FAILED DATE PASSED TEMP POLE JEA--254__ ____--___-_ FOOTING -------_--- ROUGH PLUMBING --- 4 SLAB ----------- - — - � FRAMING - MECHANICAL/FIREPLACE TOP OUT OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC ______-_--- FINAL BUILDING _____ �- ----j ELEVATION SUBMITTED CERTIFICATE OF "OCCUPANCY DATE ORDERED DATE ISSUED DEPARTMENT Off' BUILDING PERMIT NO. 8504 CITY OF ATLANTI�BEACH.FLORIDA PERMIT O BUILD 4i4,75 T THIS PERMIT MUST BE POSTED ON JOB 414 s 75CKT 3023 19 3/P6/6 Date 3/24/37 19 3504 .COCA 41475 303 IE '�/26/8 Valuation$ 115, 306.75 Fee$ . 101001 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. C032325 This is to certify that 1Vhatl ev Law �(�R� i it 9471 D 16I has permission to build Single New n,.,. ,dant;al Zone Classification Owned by Whatley IaW Blockcmy`'` Seya NOrtD_ Lot_ 19 I House No. 2030 Vela Norte rcle I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r---� O Building material, rubbish and debris —� zi from this work must not be placed in public space, and must be cleared upand auled away by either con- tr 0� owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Address 4. � -T F_ C- S E LU rk v Z T E- 10�� y� OC, Heated Square Footage 2 y @ $ 3?,5-6 per sq ft = $ g Gara ed s @ $ j�!S�y per sq ft = $ /D 009-50 Carport/Porch C' , @ $ �.0,,`' per sq ft = $__TP D Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ l l 5,375 36� 17Y Total Valuation 1st $ /DD 0qy).0ep $ R�der Valuation -/ .A5-per thousand or ortion thereof -------------------------------p-----------� Total Building Fee $ ��v. 5 ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Mechanical ✓ Fireplaces @ 15.00 $ Plumbing BUILDING PERMIT FEE $ yl y 75 Electric/New _ Electric/Temp L/ Septic Tank BUILDING PERMIT $ q1 q,, 7� Well WATER METER CHARGE $ S.0 0 SwiumLing Pool SES Il�ACT FEE $__ Sign WATER IMPACT FEE $ 7 Water Connection PBSCEU-AMUS $ Sewer Connection _� $ Water Meter t/ $ Elevation Certificate - / GRAND TOTAL DUE $ - --------------------------------------------- ---------------------------------------------- CALCULATIONS and/or NOTES �� City of- Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EAC1{ WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH r(8) TUB OR SHOWER STALL (6) /1� � _ _____WATER CLOSET VALVE -- _ _WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) �__URINAL. WALL LIP (4)_ //_ _ SHOWER GROUP PER HEAD (3) _`)__FLOOR DRAIN (1 ) _� SHOWER STALL DOMESTIC (2) `J_LAUNDRY TRAY (2) ^ _LAVATORY ( 1 ) __LCOMBINATION SINK AND TRAY (3) 1 WASHING MACHINE (3) __0_POT, SCULLERY SINK (4) _-I __DISHWASf1ER (2) __I__WASH SINK EACH SET OF _ - FAUCETS (2) _KITCHEN SINK (2) ()--DENTAL LAVATORY ( 1 ) _ KITCHEN SINK WITH WASTE GRINDER (3) -('j--DENTAL UNIT OR CUSPIDOR (1) BIDGET (3) _ C1_URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) -COMBINATION SINK AND TRAY WITH ____ FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET ( cF fAAVV e 02- BLOWOUT (8) __L__DRINKING FOUNTAIN (1/2) -----LAVATORY, BARBER/BEAUTY SHOP (2) _ _LAVATORY, SURGEONS (2) �) SURGEONS SINK (3) __l..!_URINAL STALL, WASq' OUT(4) 3 S__ @ X10. 00 EACH s- 3--- �2 S. ----- -' TOTAL FIXTURE UNITS _ JOB INFORMATION C __ CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner_-'d ------Addrese <�7l .!}' _w� phone 7f� 5� Architect / -,__ �/Lf �/01 1�4 Address �✓�7��_Q�i7 _zip......phone 3__57�� Contractor - _Addrese ----------- - ------- ---------zip------phone------- - ��. Contractor's License num--be-r ('� Z iti _ 7 _ -C -- --� -_expraon__ -0-- 4 ' Lot1Blvok or Section_��..��Subdivision,� �( 1__A Zoning g________ ;.�. Street"/ ----and , side� - _ j ---- ----------- TypeFireplaces_ . r t,. Construction�-QU,kNo. Units____,-----No. Fireplaces- f---- Purpose' of piing_ OrKc -------------Ent. Valuation Utilhty1le�ho� .- Mater Sewer--- ------- Dlmenel.ons ..-+wilding ��Z¢_____Lot_____________Size Footings__„ s?�____ Sz. Piers_ Sz. Sills Greatest Span Sills------------ Sz. Ceiling Jolsts__2,x, ___Distance on Centers...:y_""___Greatest Span__&... Z �µ Sz. Floor Joists tDistance on Centers ?___ Greatest Span_-L' ! _ Sz. Rafters _ x 7i Distance on Centers— Sz. ___Greatest Span:___ n y., Method of Heatin klV_ Solid or Filled Ground-L!/-t--z,-0----Roof:E/L�/� <- Flood Zone...__ If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are ► '. a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary accees to the properties being developed over ., dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City ` specifications.- Signature pecifications.Signature Owner - _ ---_---- ate----------------- Signature Contractor Date page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : Flood Zone: ----------------------- : Required Lowest Floor Elevation: If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the ,survey is on file with the Building Department. COMMENTS: t '= Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other llawsor ordinances effecting the proposed development. Date--------------Applicant 's Signature -------------------------- ----------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation _____ Survey F%led with Building Department______ Building Department Representative page 3 r � � SO� fJ2i4rNrQGt, GAS6M�T Ae � f LOT 18 LOT 20rA _ 4„ CpNC c4 14 <'LK CIS,o „ f -- - 50' t2 w V PA 4 Y i yiw; s - il u i t MAP SHOWING SURVEY OF LO` 19 SELVA NORTE UNI- ONE. AS RECORDED IN P1.A`�' BOOK 39 PAGES 94, 94A PND 94B OF �'fiE CURItF:� i PUBLIC RrrORD OF DtJ-JIXT— COUNT`l, FLORIDA. L OT 22 I - LOT 23 LOT 2/ 29'0' 5"E. 400'04'4olwW S.l0 0/ 84.0 --_... _ DITCH(B�1) H FND. 1/2 1.P FND 1/2"1.P IA- AGE 50 ORA/NEASEMENT- h h M M LOT 20 VA,�A T) LOT 18 h h co Q) b ° ZD ti /0' J.E.A. EASEMENT R.=25 4 ✓.E.A. BOX \ n f yV N. 03049,10 W. 98.0 FND. 1/2 /.P. FND. 1/2"l.P. R.L.S. No. 1048 �- R.L.S. No. 1048 "i VEL L A NORTE CIRCLE �— O R/W PAVED — — NOTES. /. BEARINGS AS PER PLAT 2. NO B.R.L. AS PER PLAT I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE "B" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO EDWARD S. JONES THAT L HAVE SURVEYED THE LANDS AS SHC1r1N IN 'PHE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESEN`T'ATION OF iHAT .SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY TI-EE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21—HH AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, L.S. FIELD WORK DONE ` FLORIDA REG. LAND SURVEYOR No. 3295 AF)4'/L 8 /98s p q�pll- /f,CALE: - BOATWRIGHT LAND SURVEYORS, INC. 8DRAWN ByY: 1301 PENMAN ROAD SUITE D SH _L F.B. f: F LE JACKSONVILLE BEACH, FLORIDA 241-8550 CITY OF Office of Building Official /yREQUEST FOR INSPECTION �Q Permit No. Date A M. Distr'ct No. Time P.M. Received Localit ' Job Address -� r Owner's Contractor PLUMBING MECHANICAL Name CONCRETE ELECTRICAL ❑ Air.Cond.& BUILDING Rough Wiring C Rough Footing ❑ Top Out ❑ Heating Framing J Slab ❑ Temp Pole 0Fire Place ❑ Re Roofing Lintel ❑ Final C Pre Fab A.M. READY FOR INSPECTION FridayP.M. Wed Thurs. Mon. ues. A.M 2 P.M. I Inspection Made Final inspection�C/ J Inspector Certificate of Occupancy Date CITY OF Ax! Office of Building Official REQUEST FOR INSPECTION r� Date Permit No. � �— A.M. District No. Time ` t�P.M. Received Locality Job Addfess Owner's Contractor Name PLUMBING MECHANICAL BUILDING CON ETE ELECTRICAL / Air.Cond.& �/ Rough Wiring �j/ Rough L Heating Framing Footing Top Out 5/ Re Roofing Slab Temp Pole Fire Place El Lintel .- Final El Pre Fab RE �FOR INSPECTION A.M. Thurs. Fridays --P.M. Mon. *Tues. 0rInspection Made + „_ Final inspection Inspector Certificate of Occupancy Date CITY OF //�� � /� � . A 4&4 /.3 e4=4-49&Ud4 Office of Building Official p REQUEST FOR INSPECTION Q Date Permit No. Time A.M. District No. Received � � P�M. Locality J Addr /��rAp' Owner's Contractor Name BUILDING ON ETE ELECTRICAL PLUMBING MECHANICAL ❑ Rough Wiring 11TopOut ❑Rough Air. 8 ❑ Framing ❑ Fo �/ Heating Re Roofing ❑ Slab Temp Pole 01Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Wed. Thurs.^ Friday P•lvl• Mon. Tues. /D P.M. Inspection Made /f ( � Final inspection❑ Inspector Certificate of Occupancy Date CITY OF nn /n� __ .. ee � 4& /�e�-vt&Z� Office of Building Official rX/ REQUEST FOR INSPECTION `/ Date f, Permit No. ✓ Time Received M. District No. T Job Addressl/^'��, / NameOwner's Contractor ve BUILDING CONCRETE ELECTRICAL PLUMBING / MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INS=urs. A:M; Mon. Tues. Wed. Friday _ A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF fQ&MtiC BeacJs-0;&%a*r'a Office of Building Official REQUEST FOR INSPECTION Date —/ S17 Permit No. C� Time A.M. Received P.M. �..V District N� Jo Address / Locality Owner's 1 Name l BUILDING CO ETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ ❑1 � Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole it Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab Q READY FOR INSPECTION A.M. Wed. Thurs. Friday P.M. ( A.M. Inspection`(vlade P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&M4C 13113=4-49&14& Office of Building Official REQUEST FOR INSPECTION Xp/� Permit No. �� (— Time A.M. Received P.M. District No. Job Address Locality Owner's / ,f Name SCJ Contractor BUILDING CRETE ELECTRICAL PLUMBING0 MECHANICAL Framing ❑ I� Rough Wiring ❑ Rough Air.Cond.8 ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab yy� READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday—P.M. Inspection Made P Inspector �- Final Inspection❑ Certificate of Occupancy Date DEPARTMENT OF BUILDING Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.,8506 5J 50(,V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 62.5E TI ;2 Date 3/24/87 19 4520 1 A 4/08/0 6506 e00CAC Valuation$ Fee$ 62.50 4520 1A 4/00/8 1007 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that B f C P1 rmb'nj;Z Co CFCO22593 has permission to 0EZdDtX i n ct a l l nl umthi n - Classification New Residential Zone Owned by Whatley Law Lot 19 Block T S/D SP1 va NtLP House No. 2090 Alf—In Nnrte Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --' —0 O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor o er. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT /of JOB LOCATION Q� PLUMBING CONTRACTOR Ll LICENSE NUMBERS 'w -��►% L� '• i OWNER BUILDING CONTRACTOR TYPE OF BUILDING SINKS LSHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS _DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT �v INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between e /V L ��`� And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical _ Contractors Contractor (Print) '/ //tf L, Mester 2/ /,• Name of . .Property Owner n Signature of Owner Signature of or Author'rud Agent Architect or Engineer III. GENERAL INFORMATION A' TYPa of heating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITET ❑ Gas—❑ LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION Cl Otl PERMIT ❑ Other — Specify IVd MICHANICJIL EQUIPMENT TO 91 INSTALLED nResidentialOF WORK (Provide complete list of components on beck of this ) - or ❑ Commercial Q Heat ❑ Space ❑ Reuswd ) O Floor ryew Building Q Air Conditioning: E3Room p Central 13 Existing Building [3 Duct System: Material �� C�Thicknau / r / ❑ Replacement of existing system chis. New Installation(No system previously Installed) Maximum capacity O Extension or add-on to exlating system Q Refrigisration ❑ Other — Specify ❑ Cooling tower: Capacity ❑ Fin sprinklers: Number of head- - ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q ;Gasoline pump- (number) ( +) ❑. Tank- (number) Remarks ❑ LPG container (number) Q Unfired pressure vessN Permit Approved by Date . Q Boilers O Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Caftadty App Number Units Deeoriptba Model Number 1"nufacturer (;Nm) AA f 9LIf. F-_ BEATING - FURNACES, BOILERS, FIREPLACES Capacity APp� WUnber Units Description Modal Number S[anut acturar (BTU) A8 191 =W Hos Many Na snow Capacity Type Liquid Name of ScrW Ap�°���g and Dlmeodast Contained Haautaatum No. ^fir I I _ DEPARTMENT OF BUILDING 8505 PERMIT NO... CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 50,no 7 f THIS PERMIT MUST BE POSTED ON JOB 5090OCKT Date �/�4/87 19 7607 14 5/07/0 9505 *OOCAC Fee$_-50.00 7�BC� 1A F/07/0_ Valuation$ 1�lCsO! This permit not valid until above fee has beer.paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Air En ineers Inc. has permission to >aCi M I I i<Ip , I?pci(1Pnt 1 al Zone I Classification I Owned by n At I ey I Block Lot House No. I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS I AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �� O Building material, rubbish and debris z from this work must not be placed I in public space, and must be cleared up and hauled away by either con- tractor ner. Building Official. CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER -V CITY OF ATLANTIC KAU I, FLORIDA �D ADProv*d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:lla ! a b 19_L2 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREEPE REOFANDD DIN ACCORDANCE WITH THEITH THE ELECTRICAL ACHED PLANS AND N WORK IN ACCORDANCE REGULATIONS, CODES AND CITY WHICH ARE A PART HE , ATLANTIC BEACH ORDINANCES. 4 �t ELECTRICAL FIRM: MASTER ELECTRICIAN /SIGNAT URE ,--kld JOURNEYMANQ NAME ADDRESS:-- v L� AA" l _lRFD BOX BLDG.SIZE BETWEEN: RES.l 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 ! NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. SIGNS ( 1 SO. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS S(_� COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH 3w ,)3&)VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY SIZE FEEDERS NO. SIZE NO. — SIZE_ NO. LIGHTING OUTLETS CONCEALED, OPER TOTAL -- --- - ---- CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS, 0-90 S. SWITCHES INCANDESCENT- FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER �- BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL NEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ----- - rr TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED TOTAL FEES a� CITY OF ATLANTIC BEACH, FLORIDA �3 Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:.. �19 --� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY RE AE EPART HEREOFI, ANDD DIN ACCORDANCE WITH THE IELECTRICAL TH THE ASPECIFICATIONS, WORK IN ACCORDANCE REGULATIONS, CODES AND CITY WHICH A OF ATLANTIC BEACH ORDINANCES. /f w MASTER ELECTRICIAN SIGNATURE cJ ELECTRICAL FIRM: -� ME ADDRESS: ff� ��� ���, �� n ' `� RFD BOX NA 6-Q-� � BLDG.SIZE BETWEEN:- a ' ' y RES.(�) APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. 1 1 t NEW (A OLD ( 1 REW.( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SO. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1 1 CONDUCTOR SIZE AMPS ��C COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER Dv AMPS / PH W L.NOLT -ORACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL — si-ioo AMPS. 0-90 AMPS, SWITCHES INCANDESCENT- - - FLUORESCENT &M.V. ___ - - FIXED 00 AMPS. 0.1OVER -- -- �+ BELL APPLIANCES TRANSF. AIR N.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN - — --ilI- FORWARDED TOTAL FEES D 1 CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 September 22, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Streey Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit#5393----2080 Vela Norte Circle Permit issued to D ; W Electric Company. Permit #5315----310 Oceanforest ;Drive-North Permit issued to Brooks $ Limbaugh Electric Company. Since y, //Rt e' Angers Community Develop nDirector cc: file RA/te